Individual
DR. JOHN W. GRINSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 E 2ND ST, SUITE 400, RENO, NV 89502-1262
(775) 982-2400
(775) 982-2888
Mailing address
PO BOX 30084, RENO, NV 89520-3084
(775) 333-7440
(775) 327-8199
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
10449
NV
207RI0011X
Interventional Cardiology Physician
10449
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100500121
—
NV
01
—
CC5608
BLUE CROSS BLUE SHIELD
NV
05
—
XPY199952
—
CA
Enumeration date
07/26/2006
Last updated
09/12/2013
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